EP2152145A1 - Procédé et dispositif pour l'alignement oculaire et le couplage de structures oculaires - Google Patents

Procédé et dispositif pour l'alignement oculaire et le couplage de structures oculaires

Info

Publication number
EP2152145A1
EP2152145A1 EP08743125A EP08743125A EP2152145A1 EP 2152145 A1 EP2152145 A1 EP 2152145A1 EP 08743125 A EP08743125 A EP 08743125A EP 08743125 A EP08743125 A EP 08743125A EP 2152145 A1 EP2152145 A1 EP 2152145A1
Authority
EP
European Patent Office
Prior art keywords
eye
patient
image
axis
guide
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
EP08743125A
Other languages
German (de)
English (en)
Other versions
EP2152145B1 (fr
EP2152145A4 (fr
Inventor
Michael Gertner
Mark Arnoldussen
Matt Herron
Junzhong Liang
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Oraya Therapeutics Inc
Original Assignee
Oraya Therapeutics Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from US11/879,901 external-priority patent/US7496174B2/en
Priority claimed from US12/027,094 external-priority patent/US8920406B2/en
Priority claimed from US12/100,398 external-priority patent/US7693260B2/en
Application filed by Oraya Therapeutics Inc filed Critical Oraya Therapeutics Inc
Priority to EP13155533.6A priority Critical patent/EP2602005B1/fr
Publication of EP2152145A1 publication Critical patent/EP2152145A1/fr
Publication of EP2152145A4 publication Critical patent/EP2152145A4/fr
Application granted granted Critical
Publication of EP2152145B1 publication Critical patent/EP2152145B1/fr
Not-in-force legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B3/00—Apparatus for testing the eyes; Instruments for examining the eyes
    • A61B3/10—Objective types, i.e. instruments for examining the eyes independent of the patients' perceptions or reactions
    • A61B3/14—Arrangements specially adapted for eye photography
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B3/00—Apparatus for testing the eyes; Instruments for examining the eyes
    • A61B3/10—Objective types, i.e. instruments for examining the eyes independent of the patients' perceptions or reactions
    • A61B3/113—Objective types, i.e. instruments for examining the eyes independent of the patients' perceptions or reactions for determining or recording eye movement
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B3/00—Apparatus for testing the eyes; Instruments for examining the eyes
    • A61B3/10—Objective types, i.e. instruments for examining the eyes independent of the patients' perceptions or reactions
    • A61B3/14—Arrangements specially adapted for eye photography
    • A61B3/15—Arrangements specially adapted for eye photography with means for aligning, spacing or blocking spurious reflection ; with means for relaxing
    • A61B3/152—Arrangements specially adapted for eye photography with means for aligning, spacing or blocking spurious reflection ; with means for relaxing for aligning
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
    • A61F9/007—Methods or devices for eye surgery
    • A61F9/008—Methods or devices for eye surgery using laser
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
    • A61F9/007—Methods or devices for eye surgery
    • A61F9/008—Methods or devices for eye surgery using laser
    • A61F9/009—Auxiliary devices making contact with the eyeball and coupling in laser light, e.g. goniolenses
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/10—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/1001—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy using radiation sources introduced into or applied onto the body; brachytherapy
    • A61N5/1014—Intracavitary radiation therapy
    • A61N5/1017—Treatment of the eye, e.g. for "macular degeneration"
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/10—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/1048—Monitoring, verifying, controlling systems and methods
    • A61N5/1049—Monitoring, verifying, controlling systems and methods for verifying the position of the patient with respect to the radiation beam
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B3/00—Apparatus for testing the eyes; Instruments for examining the eyes
    • A61B3/10—Objective types, i.e. instruments for examining the eyes independent of the patients' perceptions or reactions
    • A61B3/12—Objective types, i.e. instruments for examining the eyes independent of the patients' perceptions or reactions for looking at the eye fundus, e.g. ophthalmoscopes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
    • A61F9/007—Methods or devices for eye surgery
    • A61F9/008—Methods or devices for eye surgery using laser
    • A61F2009/00844—Feedback systems
    • A61F2009/00846—Eyetracking
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
    • A61F9/007—Methods or devices for eye surgery
    • A61F9/008—Methods or devices for eye surgery using laser
    • A61F2009/00861—Methods or devices for eye surgery using laser adapted for treatment at a particular location
    • A61F2009/00863—Retina
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
    • A61F9/007—Methods or devices for eye surgery
    • A61F9/008—Methods or devices for eye surgery using laser
    • A61F9/00802—Methods or devices for eye surgery using laser for photoablation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/10—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/1048—Monitoring, verifying, controlling systems and methods
    • A61N5/1049—Monitoring, verifying, controlling systems and methods for verifying the position of the patient with respect to the radiation beam
    • A61N2005/1059—Monitoring, verifying, controlling systems and methods for verifying the position of the patient with respect to the radiation beam using cameras imaging the patient
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/10—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N2005/1085—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy characterised by the type of particles applied to the patient
    • A61N2005/1091—Kilovoltage or orthovoltage range photons

Abstract

Des modes de réalisation de la présente invention concernent un procédé et des systèmes permettant de déterminer ou de mesurer un alignement de l'oeil objectif dans un système de coordonnées externe pour définir un axe de référence. Des modes de réalisation supplémentaires ont pour objet un procédé et un système d'alignement d'un axe de référence déterminé objectivement de l'oeil dans une relation sélectionnée par rapport à un axe thérapeutique d'un appareil thérapeutique ophtalmique et/ou un axe diagnostique d'un appareil diagnostique ophtalmique. Des modes de réalisation concernent un procédé et un système permettant de planifier un procédé de traitement ophtalmique reposant sur un alignement de l'oeil objectif dans un système de coordonnées externe afin de définir un axe de référence d'un oeil à traiter. L'axe de référence peut être utilisé pour positionner un composant d'énergie thérapeutique, par exemple, un dispositif de traitement aux rayons X d'orthovoltage positionné par exemple pour permettre de traiter le tissu sur la rétine, tel que la macule.
EP08743125.0A 2007-06-04 2008-04-17 Procédé et dispositif pour l'alignement oculaire et le couplage de structures oculaires Not-in-force EP2152145B1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
EP13155533.6A EP2602005B1 (fr) 2007-06-04 2008-04-17 Dispositif pour l'alignement oculaire et le couplage de structures oculaires

Applications Claiming Priority (19)

Application Number Priority Date Filing Date Title
US93322007P 2007-06-04 2007-06-04
US11/879,901 US7496174B2 (en) 2006-10-16 2007-07-18 Portable orthovoltage radiotherapy
US11/879,843 US7535991B2 (en) 2006-10-16 2007-07-18 Portable orthovoltage radiotherapy
US11/833,939 US7822175B2 (en) 2006-10-16 2007-08-03 Portable orthovoltage radiotherapy
US11/873,386 US7680244B2 (en) 2006-10-16 2007-10-16 Ocular radiosurgery
US1647207P 2007-12-23 2007-12-23
US2065508P 2008-01-11 2008-01-11
US12/023,954 US7680245B2 (en) 2006-10-16 2008-01-31 Orthovoltage radiotherapy
US12/023,905 US7564946B2 (en) 2006-10-16 2008-01-31 Orthovoltage radiotherapy
US12/023,968 US7697663B2 (en) 2006-10-16 2008-01-31 Orthovoltage radiotherapy
US12/023,884 US7693258B2 (en) 2006-10-16 2008-01-31 Orthovoltage radiotherapy
US12/024,934 US7693259B2 (en) 2006-10-16 2008-02-01 Orthovoltage radiotherapy
US12/026,507 US7912178B2 (en) 2006-10-16 2008-02-05 Orthovoltage radiotherapy
US12/027,094 US8920406B2 (en) 2008-01-11 2008-02-06 Device and assembly for positioning and stabilizing an eye
US12/027,083 US8512236B2 (en) 2008-01-11 2008-02-06 System and method for positioning and stabilizing an eye
US12/027,069 US8506558B2 (en) 2008-01-11 2008-02-06 System and method for performing an ocular irradiation procedure
US12/100,398 US7693260B2 (en) 2007-04-09 2008-04-09 Orthovoltage radiosurgery
US12/103,534 US8363783B2 (en) 2007-06-04 2008-04-15 Method and device for ocular alignment and coupling of ocular structures
PCT/US2008/005101 WO2008150331A1 (fr) 2007-06-04 2008-04-17 Procédé et dispositif pour l'alignement oculaire et le couplage de structures oculaires

Related Child Applications (2)

Application Number Title Priority Date Filing Date
EP13155533.6A Division EP2602005B1 (fr) 2007-06-04 2008-04-17 Dispositif pour l'alignement oculaire et le couplage de structures oculaires
EP13155533.6 Division-Into 2013-02-15

Publications (3)

Publication Number Publication Date
EP2152145A1 true EP2152145A1 (fr) 2010-02-17
EP2152145A4 EP2152145A4 (fr) 2011-07-13
EP2152145B1 EP2152145B1 (fr) 2013-08-07

Family

ID=43032890

Family Applications (2)

Application Number Title Priority Date Filing Date
EP08743125.0A Not-in-force EP2152145B1 (fr) 2007-06-04 2008-04-17 Procédé et dispositif pour l'alignement oculaire et le couplage de structures oculaires
EP13155533.6A Active EP2602005B1 (fr) 2007-06-04 2008-04-17 Dispositif pour l'alignement oculaire et le couplage de structures oculaires

Family Applications After (1)

Application Number Title Priority Date Filing Date
EP13155533.6A Active EP2602005B1 (fr) 2007-06-04 2008-04-17 Dispositif pour l'alignement oculaire et le couplage de structures oculaires

Country Status (4)

Country Link
US (3) US8363783B2 (fr)
EP (2) EP2152145B1 (fr)
AU (1) AU2008260682B2 (fr)
WO (1) WO2008150331A1 (fr)

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP2152142A1 (fr) * 2007-06-04 2010-02-17 Oraya Therapeutics, INC. Dispositif et ensemble pour le positionnement, la stabilisation et le traitement d'un oeil
US8059784B2 (en) 2006-10-16 2011-11-15 Oraya Therapeutics, Inc. Portable orthovoltage radiotherapy
US8184772B2 (en) 2007-04-09 2012-05-22 Oraya Therapeutics, Inc. Orthovoltage radiosurgery
US8363783B2 (en) 2007-06-04 2013-01-29 Oraya Therapeutics, Inc. Method and device for ocular alignment and coupling of ocular structures
US8494116B2 (en) 2007-12-23 2013-07-23 Oraya Therapeutics, Inc. Methods and devices for orthovoltage ocular radiotherapy and treatment planning
US8503609B2 (en) 2007-12-23 2013-08-06 Oraya Therapeutics, Inc. Methods and devices for detecting, controlling, and predicting radiation delivery
US8506558B2 (en) 2008-01-11 2013-08-13 Oraya Therapeutics, Inc. System and method for performing an ocular irradiation procedure

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EP2152145B1 (fr) 2013-08-07
EP2152145A4 (fr) 2011-07-13
AU2008260682A1 (en) 2008-12-11
AU2008260682B2 (en) 2013-12-19
EP2602005A1 (fr) 2013-06-12
WO2008150331A1 (fr) 2008-12-11
US8923479B2 (en) 2014-12-30
EP2602005B1 (fr) 2015-09-23
US8363783B2 (en) 2013-01-29
US20140126700A1 (en) 2014-05-08
US20130141696A1 (en) 2013-06-06
US20090163898A1 (en) 2009-06-25
US8630388B2 (en) 2014-01-14

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